Prop 1: 2024

Proposition 1

Mental Health Care and Addiction Treatment Reform & Bonds to Build Places for Treatment and Supportive Housing

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The Election

There is one statewide ballot measure for the March 2024 election. You can watch a video explainer or read about it below.

YouTube video

The Measure

Measure Identification

Measure ID: Proposition 1
Measure Name: Authorizes $6.38 Billion in Bonds to Build Mental Health Treatment Facilities for Those with Mental Health and Substance Use Challenges; Provides Housing for the Homeless
Type of Ballot Measure: Legislative Statute
Election: 2024 Primary

The Question

Should a greater share of county Mental Health Services Act funding be used, and new bonds issued, to build treatment facilities and housing for people with mental illness and substance use disorders as well as housing for other homeless individuals?

The Situation 

The Legislature placed Proposition 1 on the ballot.

Annually, $2.0-3.5 billion for mental health services is derived from the Mental Health Services Act (MHSA), known as the “Millionaire Tax,” passed by voters in 2004. California’s counties are granted 95% of these funds, with relative flexibility in their use for mental health services and for substance use treatment for people with or at risk of developing mental illness. Currently, total housing and treatment resources are insufficient to address these crises.

In January 2022, approximately 171,500 Californians were homeless. Of that population approximately 75,700 are suffering from severe mental illness and/or chronic substance disorders. Another 10,400 are veterans.

The Proposal

If passed, Proposition 1 would:

  • Authorize the issuance of bonds to raise $6.4 billion: $4.4 billion to build facilities for treatment of people with mental illness and substance use disorders, and $2 billion to build or renovate housing for people who are experiencing or at risk of homelessness, or who have mental illness or substance use disorders.
  • Shift approximately $140 million of annual MHSA funding, currently available to counties for community-based mental health services, to the state for its mental health services.
  • Divert roughly one third of all county MHSA funding currently used to provide mental health services — including outpatient treatment, crisis response, early intervention, prevention and outreach, and treatment for people with substance use disorder — to housing and personalized support services like employment assistance and education.

Fiscal Effects

Counties would annually receive approximately $140 million less in MHSA funding and would have to use a greater percentage of their MHSA funding for housing and support services and less for community-based mental and behavioral health treatment. Counties would provide more housing and personalized support services but would have less MHSA money for their mental health services. This means counties may need to use other county, state, or federal money to keep current service levels.

The Legislative Analyst Office estimates the bond would pay for building 6,800 treatment beds in new facilities and up to 4,350 housing units, half for veterans experiencing homelessness. The number of new housing units would reduce overall statewide homelessness by approximately 3 percent, although there are also other funding sources for such housing.

The cost to repay the bond from the General Fund over thirty years would be approximately $310 million annually. The total cost to pay off the bonds plus interest would be $6.38 billion plus several more billion, depending on the interest rate.

Supporters Say

  • The bond will pay for needed housing for people who are chronically unhoused, including veterans and people with mental or behavioral health challenges.
  • The bond will pay for needed construction and rehabilitation of psychiatric and other facilities necessary for the treatment of people with mental illness or substance use disorders.
  • Proposition 1 provides treatment over incarceration.      

Opponents Say

  • The actual number of newly built or rehabilitated housing units would have minimal impact on reducing overall statewide homelessness.
  • Billions of dollars will be borrowed to build new locked facilities to hide the homeless, the addicted and the mentally ill against their will.
  • Proposition 1 reduces local funding for community and evidence-based treatment that is accessible, effective, and voluntary. Forced treatment is ineffective and associated with higher suicide risk.

For More Information

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